Evidence map›Paper›PMID 31343469›Full record

ArticleClinical and translational gastroenterology2019

Increasing Economic Burden in Hospitalized Patients With Cirrhosis: Analysis of a National Database.

Archita P Desai, Prashanthinie Mohan, Brandon Nokes, Deekksha Sheth, Shannon Knapp, Malaz Boustani, Naga Chalasani, Michael B Fallon, Elizabeth A Calhoun

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical and translational gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06531200 (Building of Prognosis Model for Patients With Cirrhosis Based on Sarcopenia in Assessment With the Technology of Deep Learning), which is not on this map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06531200 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Building of Prognosis Model for Patients With Cirrhosis Based on Sarcopenia in Assessment With the Technology of Deep Learning

TypeobservationalSponsorPeking University People's HospitalRan2024 to 2025Enrolled1,000ConditionsCirrhosis, Liver, Sarcopenia
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 109 citations in OpenAlex.

  1. Article
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  5. Standardization of the Cirrhosis Admission Process and Its Impact on Inpatient Management and Patient Outcomes.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  6. Article
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  10. Proton Pump Inhibitor Use in Patients With Cirrhosis and Its Association With Spontaneous Bacterial Peritonitis.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2025
    Article
  11. Article
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  15. Article
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  18. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Archita P DesaiDivision of Gastroenterology, Department of Medicine, Indiana University, Indianapolis, Indiana, USA.
Prashanthinie MohanCollege of Public Health, University of Arizona, Tucson, Arizona, USA.
Brandon NokesDivision of Pulmonary, Critical Care, and Sleep Medicine, University of California, San Diego, San Diego, California, USA.
Deekksha ShethKasturba Medical College and Hospital, Manipal University, Manipal, India.
Shannon KnappStatistics Consulting Laboratory, BIO5 Institute, University of Arizona, Tucson, Arizona, USA.
Malaz BoustaniDepartment of Medicine, Center for Health Innovation and Implementation Science, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Naga ChalasaniDivision of Gastroenterology, Department of Medicine, Indiana University, Indianapolis, Indiana, USA.
Michael B FallonDepartment of Medicine, College of Public Health, University of Arizona, Phoenix, Arizona, USA.
Elizabeth A CalhounCollege of Public Health, University of Arizona, Tucson, Arizona, USA.
Indiana University – Purdue University Indianapolis · USUniversity of Arizona · USKasturba Medical College, Manipal · INUniversity of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe prevalence of cirrhosis is increasing despite advances in therapeutics, and it remains an expensive medical condition. Studies examining the healthcare burden of inpatient cirrhosis-related care regardless of etiology, stage, or severity are lacking. This study aims to describe the current drivers of cost, length of stay (LOS), and mortality in hospitalized patients with cirrhosis.

methodsUsing the National Inpatient Sample (NIS) data from 2008 to 2014, we categorized admissions into decompensated cirrhosis (DC), compensated cirrhosis (CC), and NIS without cirrhosis. Descriptive statistics and regression analysis were used to analyze the association between patient characteristics, comorbidities, complications, and procedures with costs, LOS, and mortality in each group.

resultsThe hospitalization costs for patients with cirrhosis increased 30.2% from 2008 to 2014 to $7.37 billion. Cirrhosis admissions increased by 36% and 24% in the DC and CC groups, respectively, compared with 7.7% decrease in the NIS without cirrhosis group. DC admissions contributed to 58.6% of total cirrhotic admissions by 2014. Procedures increased costs in both DC and CC groups by 15%-152%, with mechanical ventilation being associated with high cost increase and mortality increase. Complications are also key drivers of costs and LOS, with renal and infectious complications being associated with the highest increases in the DC group and infections and nonportal hypertensive gastrointestinal bleeding for the CC group. DISCUSSION: Economic burden of hospitalized patients with cirrhosis is increasing with more admissions and longer LOS in DC and CC groups. Important drivers include procedures and portal hypertensive and nonportal hypertensive complications.

Indexed as

AgedAged, 80 and overCase-Control StudiesComorbidityCost of IllnessDatabases, FactualFemaleHospitalizationHumansLength of StayLiver CirrhosisMaleMiddle AgedPrevalenceRespiration, Artificial

Identifiers

PMID31343469
PMCPMC6708673
OpenAlexW2963999553

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.